2214 Davie Academy Rd Davie County,NC Tax Parcel Report a ' Monday, September 26, 2016
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Parcel Information7,7
Parcel Number: 1100000035 Township: Calahaln
NCPIN Number: 5708249284 Municipality:
Account Number: 47962500 Census Tract: 37059-801
Listed Owner 1: MAURICE DONALD S SR Voting Precinct: SOUTH CALAHALN
Mailing Address 1: 211 VINE ST Planning Jurisdiction: Davie County
City: STATESVILLE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
Zip Code: 28677-0000 Voluntary Ag.District: No
Legal Description: 4.97 AC DAVIE ACADEMY RD Fire Response District: COUNTY LINE
Assessed Acreage: 4.75 Elementary School Zone: COOLEEMEE
Deed Date: 4/1988 Middle School Zone: SOUTH DAVIE
Deed Book/Page: 001420792 Soil Types: PcC2,CeB2
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 200970.00 Outbuilding 8r Extra 1840.00
Freatures Value:
Land Value: 39390.00 Total Market Value: 242200.00
Total Assessed Value: 242200.00
161 All data Is provided as Is without warranty or guarantee of any kind either expressed or implied Including but not limited to the
Davie County, Implied warranties of merchantability or fitness for a particular use.All users of Davie County's GIS website shall hold harmless the
County of Davie,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to
NC or arising out of the use or Inability to use the GIS data provided by this webalts.
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*N6fE: Issued in Compliance with G.S. of North Carolina Chapter 130 Article 13c
• t Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) Permit Number
Name _ o N Q 1C�-\��E�V R� c, e- Date - 1 �� NO i�7Jf-4
Location -��.'C ` 1 ��
� 1C �.� -y \�o _ v�` s �� �• 2���1 Dcv�c. ACAA& +�
Subdivis on Name Lot No. Sec. or Block No.
Lot Size �A . ^1 + Housey, ,Mobile Home _ Business -.Speculation
No. Bedrooms 3- No,Baths No..:lp Family _
Garbage Disposal YES E] NOy ,
y� Specifications for System:
Auto Dish Washer , YES ❑ NO O"p c- N_ _ -
Auto Wash Machine YES NO ❑ ! `� t
oQ x 3 x
Type Water Supply
*This permit Void if sewage system described below is not,instailed within 36 months from date of issue.
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Improvements permit by
*Contact a representative of the Davie County Health Department for final inspection of this system between 8:30-
9:30 A.M. or 1:00-1:30 P.M. on day.of completion. Telephone Number: 704-634-5985.
Final Installation Diagram: System Installed by
�s J 5 o �
Certificate of Completion — DateL�QSL
*The signing of this certificate shall indicate that the system described above has been installed in compliance with
the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function
satisfactorily for any given period of time.
, y
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
Davie County Health Department
Environmental Health SectionQ �Vl
P. O. Box 665 OL S CE
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISPUEQ. S�
Home Phone
1. Permit Requested By bo riq I 0 n Au R t CC Business Phone
2. Address 4ocksil,//
3. Property Owner if Different than Above ^ d
Address
4. Permit To: a) Install Alter Repair
b) Privy Conventional Other Type
Ground Absorption
c) Sub-Division Sec. Lot No.
5. System used to serve what type facility: House Mobile Home Business
IndustryOther
b) Number of people y
6. a) If house or mobile home, state size of home and number of rooms.
House Dimensions \P SIX 8s-
Bed
sBed Rooms—Bath Rooms— .2 Den w/Closet
b) If Business, Industry or Other, State: Number of persons served
What type business, etc.
Estimate amount of waste daily (24 hours)
7. Number and type of water-using fixtures:
commodes urinals garbage disposal -
lavatory showers l washing machine
dishwasher sinks �3
8. a) Type water supply: Public Private—Community
b) Has the water supply system been approved? Yes No
9. a) Property Dimensions d w2„J,r' k 7
b) Land area designated to building site
c) Sewage Disposal Contractor 44
10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve? No
What type?
This is to certify that the information is co
toto the besbof my knowledge.
• POP- /7"N
Date Owner Signature
OWNER IS SOLELY RESPONSIBLE-FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
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DCHD(6-82)
PAUL RESS A
DB. 12 4 PG: 163
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N 8 C IN
RD.
LENNA DELLINGER A
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M DB. 65 PG. 219
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N HAZEL KOONTZ l
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DB- 65 PG. 218 T
NIP N 54 44 51" E 792.34 TOTAL P►P
J 9 C 4.5.'S/W
RD. 34.50 757.84
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N DB. 62
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a a AREA = 4.976 ACRES
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3T.SO 763.08 _
i C Z5, S/W NAIL AT STONE
€ RD. NIP -f— S 540 45' 33" W 800.88 TOTAL 8 AT FENCE POST
20 LEGE
NIP NEW
J.C. SMOOT PIP = PLACE
N9C = NAIL 8
WILL BK. 78 PG. E - 5
DB. 54 PG. 4 70
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c DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section.
P. O. Box 665
Mocksville, N.C. 27028
\ SOIL/SITE EVALUATION
Name N v'\ c� y�1`c �- _ Date y ��
Address
C a � Lot Size
v-
FACTORS ARE01 AREC2) AREA 3 AREA 4
1) Topography/Landscape Position S S S
PS �j PS PS
U U U U
2) Soil Texture (12-36 in.) Sandy, S S S
Loamy, Clayey, (note 2:1 Clay) < PS PS
U U U
3) Soil Structure (12-36 in.) S S S
Clayey Soils PS PS
U U U
4) Soil Depth (inches) S S S
Z:::ts' PS PS
U U
5) Soil Drainage: Internal S S S
PS PS
U U U
External S S
p� PS PS
U U U U
6) Restrictive Horizons
7) Available SpaceS S S
PS PS
U U U U
8) Other (Specify) S S S S
PS PS PS PS
U U
9) Site Classification --S
U—UNSUITABLE S—SUITABLE` PS Provisionally Suitable
Recommendations/Comments: 1 �v
Described by \�� Title Date
SITE DIAGRAM
1
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